Abstract
BackgroundThis study aims to explore the effect of public hospital managers’ risk and gain perception on their attitude towards physician dual practice (PDP).MethodsA cross-sectional study enrolling 1513 managers from public hospitals in the East, Middle and West of China was conducted. Generalized linear mixed models (GLMM) were used to identify the determinants of managers’ support for PDP.ResultsThe rate of managers’ support for allowing PDP or implementing PDP with restriction, was 94.3% (95% CI: 0.93, 0.95). The mean score of managers’ risk perception was 67.7 ± 14.46, and the mean score of managers’ gain perception was 24.0 ± 5.56. After controlling for individual and institutional characteristics, the GLMM presented the score for risk perception increased 1 score and the rate of managers’ support for PDP decreased by 5% (OR = 0.95, 95% CI: 0.93, 0.97); while the score for gain perception increased 1 score and the rate of managers’ support increased by 18% (OR = 1.18, 95% CI: 1.12, 1.24).ConclusionsOur data demonstrate that the majority of Chinese public hospital managers are in favor of allowing or implementing PDP with restrictions. Although gain perception is comparatively weaker than risk perception, a stronger influence in determining public hospital managers’ support for PDP is demonstrated.
Highlights
This study aims to explore the effect of public hospital managers’ risk and gain perception on their attitude towards physician dual practice (PDP)
This finding is supported by a previous study, which identified that 71.6% of the Chinese physicians reported that the resistance to PDP originated from the administration of the public hospitals [19]
Items on the scale of risk and gain perception were discussed and measured carefully by experts before the questionnaire was approved; 3) a presurvey was conducted with a sample of 252 managers from public hospitals in Wenzhou city and Hangzhou city; 4) homogeneity test and the change of Cronbach’s α coefficient were both applied for item selection
Summary
This study aims to explore the effect of public hospital managers’ risk and gain perception on their attitude towards physician dual practice (PDP). According to a survey of 35,500 Chinese physicians, 50% of practitioners did not participate in the PDP due to the reluctant attitudes public hospitals towards PDP [18]. This finding is supported by a previous study, which identified that 71.6% of the Chinese physicians reported that the resistance to PDP originated from the administration of the public hospitals [19]. It is important to investigate the public hospital managers’ attitude towards PDP, as well as the determinants
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